Provider Demographics
NPI:1598342370
Name:SANTORA, KAILEY RACHEL (PHARMD, BCACP, CDCES)
Entity Type:Individual
Prefix:
First Name:KAILEY
Middle Name:RACHEL
Last Name:SANTORA
Suffix:
Gender:F
Credentials:PHARMD, BCACP, CDCES
Other - Prefix:
Other - First Name:KAILEY
Other - Middle Name:RACHEL
Other - Last Name:STOUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, BCACP, CDCES
Mailing Address - Street 1:7590 AUBURN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CONCORD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-9176
Mailing Address - Country:US
Mailing Address - Phone:440-375-8790
Mailing Address - Fax:
Practice Address - Street 1:6270 N RIDGE RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057-2567
Practice Address - Country:US
Practice Address - Phone:440-428-0290
Practice Address - Fax:440-428-8235
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH033347591835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist